Creatine kinase isoenzymes at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$48.48
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$277.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$12.05 with United vs $249.30 with Multiplan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United | Commercial|Exchange | $12.05 | ↓ -75% |
| PGT | Medicare|All Plans | $13.13 | ↓ -73% |
| BCBS | Medicare|All Plans | $13.39 | ↓ -72% |
| AETNA | Medicare|All Plans | $13.39 | ↓ -72% |
| UNITED | Medicare|All Plans | $13.66 | ↓ -72% |
| AMERIVANTAGE | Medicare|All Plans | $13.79 | ↓ -72% |
| SCANHealth | Medicare|All Plans | $14.33 | ↓ -70% |
| BCBS-TX | Commercial|Ref Lab | $14.58 | ↓ -70% |
| SUPERIOR | Medicaid|CHIP | $18.35 | ↓ -62% |
| UNITED | Medicaid|STARKIDS | $18.72 | ↓ -61% |
| UNITED | Medicaid|All Other Plans | $18.72 | ↓ -61% |
| SUPERIOR | Medicaid|All Other Plans | $19.27 | ↓ -60% |
| BCBS | Medicaid|STARKIDS | $19.27 | ↓ -60% |
| Ambetter | Commercial|All Plans | $19.42 | ↓ -60% |
| Wellpoint | Commercial|Exchange | $20.09 | ↓ -59% |
| Bright Health | Commercial|All Plans | $23.83 | ↓ -51% |
| United | Commercial|All Other Plans | $26.04 | ↓ -46% |
| SUPERIOR | Medicaid|STAR | $26.61 | ↓ -45% |
| Entrust | Commercial|All Plans | $26.78 | ↓ -45% |
| Cigna | Commercial|Local Plus | $29.45 | ↓ -39% |
| Ellwood | Commercial|All Plans | $40.17 | ↓ -17% |
| NX Health | Commercial|All Plans | $43.52 | ↓ -10% |
| SUPERIOR | Medicaid|STARPLUS | $45.51 | ↓ -6% |
| UNITED | Medicaid|STARPLUS | $46.43 | ↓ -4% |
| BCBS-TX | Commercial|Blue Premier | $47.00 | ↓ -3% |
| BCBS-TX | Commercial|Blue Advantage HMO | $47.00 | ↓ -3% |
| BCBS-TX | Commercial|HMO | $47.94 | ↓ -1% |
| BCBS-TX | Commercial|PPO | $55.30 | ↑ +14% |
| Wellpoint | Medicaid|All Other Plans | $69.81 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $95.99 | ↑ +98% |
| Health Smart | Commercial|All Plans | $152.35 | ↑ +214% |
| First Health | Commercial|All Plans | $166.20 | ↑ +243% |
| Humana | Commercial|All Plans | $168.97 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $177.28 | ↑ +266% |
| Aetna | Commercial|All Plans | $182.82 | ↑ +277% |
| PHCS | Commercial|All Plans | $235.45 | ↑ +386% |
| Multiplan | Commercial|All Plans | $249.30 | ↑ +414% |
Visitor-reported prices
Comments
Creatine kinase isoenzymes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $32.79 | $8.71 – $32.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $116.08 | $2.99 – $32.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $92.02 | $11.23 – $32.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $32.79 | $10.00 – $32.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $116.08 | $11.23 – $32.14 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $116.08 | $8.00 – $32.14 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $92.02 | $11.23 – $32.14 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $32.79 | $10.00 – $32.14 |